| wsma-foundation-selects-elson-s-floyd-college-of-medicine-for-new-medical-school-scholarship | WSMA Foundation Selects Elson S. Floyd College of Medicine for New Medical School Scholarship | Latest_News | Shared_Content/News/Membership_Memo/2025/december-12/wsma-foundation-selects-elson-s-floyd-college-of-medicine-for-new-medical-school-scholarship | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2025/december/future-physician-scholarship-graphic-mountain-645x425px.png" class="pull-right" alt="Future Physician Scholarship logo" /></div>
<h5>Dec. 12, 2025</h5>
<h2>WSMA Foundation Selects Elson S. Floyd College of Medicine for New Medical School Scholarship </h2>
<p>After reaching its fundraising goal of $1.5 million through its endowment fund, the WSMA Foundation for Health Care Improvement has selected the Washington State University Elson S. Floyd College of Medicine for its first four-year scholarship to a student to attend the medical school in Washington state. The investment reflects a strategic priority for both organizations to reduce financial barriers to medical education, increase representation in medicine, improve health equity, and strengthen the physician workforce.</p>
<p>Leading a much-needed change within the medical community of Washington state, in 2023 the WSMA Foundation launched the Scholarship and Diversity Advancement Fund to provide fully funded medical education for students and to build a mentoring program and community to support these students. Ultimately, the endowment seeks to fund one four-year scholarship at each of the three Washington state medical schools.</p>
<p>"At the WSMA Foundation, we believe that medicine should reflect the diversity of the communities it serves," says WSMA Foundation President Bindu Nayak, MD. "Yet, many talented, passionate students face barriers to pursuing their dreams of becoming doctors-barriers that often begin with the steep cost of medical education. With this WSMA Foundation Future Physician Scholarship, we hope to help a deserving student accomplish their dream of becoming a physician by taking at least the financial barrier off the table." </p>
<p>Crossing the fundraising threshold and selecting the medical school for its first scholarship is a significant achievement for the foundation, the WSMA, and the many physician and health care donors who helped make this possible. Thank you to all WSMA members and other donors for their generosity.</p>
<p>The scholarship application cycle will open in February. Learn more and about and donate to the Scholarship and Diversity Advancement Fund and the Future Physician Scholarship <a href="https://foundation.wsma.org/donate-scholarship/">here</a>.</p>
</div> | 12/12/2025 12:00:00 AM | 1/1/0001 12:00:00 AM |
| cme-podcast-episodes-available-on-wellness-safe-rx-and-oud-treatment | CME Podcast Episodes Available on Wellness, Safe Rx, and OUD Treatment | Latest_News | Shared_Content/News/Membership_Memo/2025/december-12/cme-podcast-episodes-available-on-wellness-safe-rx-and-oud-treatment | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2025/december/wsma-podcasts-icon-645x425px.png" class="pull-right" alt="WSMA Podcasts logo" /></div>
<h5>Dec. 12, 2025</h5>
<h2>CME Podcast Episodes Available on Wellness, Safe Rx, and OUD Treatment </h2>
<p>Catch up on episodes from our Physician and Practitioner Wellness Podcast and Better Prescribing Better Treatment Podcast, all featuring CME.</p>
<h3>Physician and Practitioner Wellness Podcast </h3>
<p>The Physician and Practitioner Wellness Podcast is freely available to all practitioner types. Thirteen episodes are available from the <a href="http://www.wsma.org/wsma/foundation/physician-and-practitioner-wellness/physician-and-practitioner-wellness-podcast/wsma/foundation/physician-and-practitioner-wellness/physician-and-practitioner-wellness-podcast.aspx?hkey=bc2edb3f-b410-48c8-8e36-1b9c4f24af67">WSMA website</a> or from our podcast channel, WSMA Podcasts, available through <a href="https://podcasts.apple.com/us/podcast/wsma-podcasts/id1702920307">Apple Podcasts</a> and <a href="https://open.spotify.com/show/0PBMBLgHr6e0X3OaMjyJON?si=af140842c00c430c">Spotify</a>. Each podcast is approved for <em>AMA PRA Category 1 Creditâ„¢</em>.</p>
<ul>
<li>Episode 1: Community Well-Being: A Collective Voice for Change</li>
<li>Episode 2: Wellness-Centered Leadership</li>
<li>Episode 3: Building a Business Case for Well-Being</li>
<li>Episode 4: Use of Team-Based Care to Improve Clinician Professional Fulfillment</li>
<li>Episode 5: Thriving in Medicine</li>
<li>Episode 6: Fierce Self-Compassion and Boundaries</li>
<li>Episode 7: The Power of Our Mindset and Perspectives</li>
<li>Episode 8: Coaching Programs to Improve Wellness</li>
<li>Episode 9: Stress Less: Tools for Clinician Well-Being and Compassion</li>
<li>Episode 10: Advocacy as Wellness: Navigating the Path to Reform and Resilience</li>
<li>Episode 11: Efficiency as Wellness: How Smarter EHRs Strengthen Health Systems and Clinicians</li>
<li>Episode 12: Compassionate Care Starting with Ourselves: Cultivating Self-Compassion in Clinical Practice</li>
<li>Episode 13: Trauma-Informed Care</li>
</ul>
<p><strong>Better Prescribing, Better Treatment Podcast</strong></p>
<p>Better Prescribing, Better Treatment is WSMA's peer-to-peer safe prescribing and opioid-use-disorder treatment initiative. Nathan Schlicher, MD, JD, is your host. Twenty-six episodes are available from the <a href="http://www.wsma.org/wsma/resources/better-prescribing-better-treatment/better-prescribing-better-treatment-podcast/wsma/resources/better-prescribing-better-treatment/better-prescribing-better-treatment-podcast.aspx?hkey=f35d3146-6429-442e-ac83-7ee35fa33ecb">WSMA website</a> or from our podcast channel, WSMA Podcasts, available through <a href="https://podcasts.apple.com/us/podcast/wsma-podcasts/id1702920307">Apple Podcasts</a> and <a href="https://open.spotify.com/show/0PBMBLgHr6e0X3OaMjyJON?si=af140842c00c430c">Spotify</a>. Each podcast is approved for <em>AMA PRA Category 1 Creditâ„¢</em>. The latest episodes are below; visit the webpage for the full episode list.</p>
<ul>
<li>Episode 17: Opioids and Physician Assistants</li>
<li>Episode 18: Buprenorphine Guidelines and Fentanyl</li>
<li>Episode 19: Telemedicine and Treatment of Opioid Use Disorder</li>
<li>Episode 20: Schools and Treatment of Opioid Use Disorder</li>
<li>Episode 21: Regulation and Legislative Update</li>
<li>Episode 22: First Responders and the Opioid Crisis</li>
<li>Episode 23: OUD Treatment in Tribal Clinics</li>
<li>Episode 24: Benzodiazepines and Sedative Safe Prescribing Guidelines</li>
<li>Episode 25: Variants and Novel Drugs</li>
<li>Episode 26: Injectable Buprenorphine Prescribing</li>
</ul>
</div> | 12/11/2025 12:00:00 AM | 1/1/0001 12:00:00 AM |
| practice-partnerships-result-in-thousands-of-rsv-doses-saved-next-steps-in-rsv-ordering | Practice Partnerships Result in Thousands of RSV Doses Saved; Next Steps in RSV Ordering | Latest_News | Shared_Content/News/Membership_Memo/2025/december-12/practice-partnerships-result-in-thousands-of-rsv-doses-saved-next-steps-in-rsv-ordering | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2025/december/getty-images-b5fx4tswk-a-unsplash-for-web.jpg" class="pull-right" alt="doctor giving vaccination to child" /></div>
<h5>Dec. 12, 2025</h5>
<h2>Practice Partnerships Result in Thousands of RSV Doses Saved; Next Steps in RSV Ordering </h2>
<p>Thanks to the commitment and partnership of physician practices and practitioners across the state, over 5,500 doses of expiring RSV vaccine (nirsevimab)-valued at $2.3 million-have been successfully redistributed and used, preventing waste and helping protect the financial sustainability of Washington's universal Childhood Vaccine Program. Feedback on the challenges of nirsevimab ordering restrictions, transfer processes, and time delays was crucial in helping guide improvements in coordination and communication, resulting in more than 500 successful transfers, with clinics, tribes, and local health jurisdictions working together to share product regionally. This effort was coordinated by the <a href="https://links-2.govdelivery.com/CL0/https:%2F%2Flinks-2.govdelivery.com%2FCL0%2Fhttps:%252F%252Fdoh.wa.gov%252F%2F1%2F010101987af94973-1c257704-9d50-4b0f-8abf-4c40423d3cb1-000000%2FbeT_V1aJ8VW0E-v7GtOI7YgdJXO4lIuqEo7GhWz0giM=416/1/0101019a36bbb0d8-016fa24b-e60d-418c-9798-78ed3edad177-000000/Fc1yGJVcXMu5DEIVhReu3V37zEUs6ScVwWlw4VymhU8=429">Washington State Department of Health</a>, <a href="https://links-2.govdelivery.com/CL0/https:%2F%2Flinks-2.govdelivery.com%2FCL0%2Fhttps:%252F%252Fwcaap.org%252F%2F1%2F010101987af94973-1c257704-9d50-4b0f-8abf-4c40423d3cb1-000000%2F17x99UVbCjmWJLUNztdNOQVJeateVc_s_-XqeccDGr0=416/1/0101019a36bbb0d8-016fa24b-e60d-418c-9798-78ed3edad177-000000/Fz--XAsVo4kf9NGvdNR8VleiyJ2dVnSx6Yb-DS9tcQE=429">Washington Chapter of the Academy of Pediatrics</a>, and the <a href="https://links-2.govdelivery.com/CL0/https:%2F%2Flinks-2.govdelivery.com%2FCL0%2Fhttps:%252F%252Fwavaccine.org%252F%2F1%2F010101987af94973-1c257704-9d50-4b0f-8abf-4c40423d3cb1-000000%2F1El9Fm3pIM8LotWVHgm73NwbiB7ASH3PIsy94w4CAFo=416/1/0101019a36bbb0d8-016fa24b-e60d-418c-9798-78ed3edad177-000000/fZ_g6IvxVxrTUHZE86-s5I8Tf2ROXOaNma79Pj5qgf0=429">Washington Vaccine Association</a>.  </p>
<h3>RSV ordering status </h3>
<p>Ordering for nirsevimab opened statewide on Oct. 8. Vaccine providers will continue to have the opportunity to order at least weekly. The Department of Health continues to monitor orders closely and expects the process to become smoother moving forward. The goal is to use all RSV product by the end of the season on March 31 so that no doses are held over to next fall. When a product is close to expiring, it should be posted for transfer at least four weeks before expiration to help ensure it is fully utilized.</p>
<h3>Next steps</h3>
<ul>
<li>Order responsibly: small quantities, more often, and only what you will use.</li>
<li>Prioritize use of short-dated vaccines first.</li>
<li>Advertise expiring doses on the <a href="https://doh.wa.gov/sites/default/files/2023-12/348808-VaccineImmunizationProducts.pdf" target="_blank" rel="noreferrer">vaccine advertisement page</a> in the IIS.</li>
<li>Ensure proper storage safeguards, especially during extreme weather or power outages.</li>
<li>Please refer to the Department of Health's <a href="https://content.govdelivery.com/accounts/WADOH/bulletins/3f2e65c">previous communication</a> for current RSV vaccine ordering guidance, schedules, and caps.</li>
</ul>
<p>The partnership with clinics and physician organizations helps reduce waste, maximize access, and protect the sustainability of this vital public health program. For assistance with vaccine transfers, see the <a href="https://doh.wa.gov/sites/default/files/legacy/Documents/Pubs/348-833-VaccineTransferChecklist.pdf" target="_blank" rel="noreferrer">vaccine transfer checklist</a> and <a href="https://links-2.govdelivery.com/CL0/https:%2F%2Flinks-2.govdelivery.com%2FCL0%2Fhttps:%252F%252Fdoh.wa.gov%252Fsites%252Fdefault%252Ffiles%252Flegacy%252FDocuments%252FPubs%252F348-740-VaccineTransferFAQ.pdf%2F1%2F010101987af94973-1c257704-9d50-4b0f-8abf-4c40423d3cb1-000000%2FgQ9VD0rPI1L8zfld1u0Uv9ejOf1Uu6mL4-_uEg7odl8=416/1/0101019a36bbb0d8-016fa24b-e60d-418c-9798-78ed3edad177-000000/OGrnfX6OjYevh4X9Ewq-z5IRu75Ze2HhBt1HpM6Smhw=429">FAQs</a>. Additional information on vaccine ordering, returns, and vaccine choice can be found <a href="https://doh.wa.gov/public-health-provider-resources/public-health-system-resources-and-services/immunization/childhood-vaccine-program/vaccine-ordering-and-returns">on the Department of Health website</a>. For questions or feedback, email <a href="mailto:WAChildhoodVaccines@doh.wa.gov">WAChildhoodVaccines@doh.wa.gov</a>.</p>
</div> | 12/11/2025 12:00:00 AM | 1/1/0001 12:00:00 AM |
| west-coast-health-alliance-continues-to-recommend-hepatitis-b-vaccination-for-newborns | West Coast Health Alliance Continues to Recommend Hepatitis B Vaccination for Newborns | Latest_News | Shared_Content/News/Membership_Memo/2025/december-12/west-coast-health-alliance-continues-to-recommend-hepatitis-b-vaccination-for-newborns | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2025/december/aditya-romansa-5zp0jym2w9m-unsplash-for-web.jpg" class="pull-right" alt="Adult holding the hand of an infant" /></div>
<h5>Dec. 12, 2025</h5>
<h2>West Coast Health Alliance Continues to Recommend Hepatitis B Vaccination for Newborns </h2>
<p>In 2025, Washington state, Oregon, California, and Hawaii formed the West Coast Health Alliance to ensure public health recommendations in the four-state region are guided by science, effectiveness, and safety. To develop its recommendations, health officers, who are all physicians, and subject matter experts from each of the alliance states review guidelines from credible national chapters from organized medicine. The WSMA supports and disseminates updated assessments from the alliance through our member and public communications.</p>
<p>For its <a href="https://doh.wa.gov/newsroom/west-coast-health-alliance-wa-doh-and-leading-national-medical-organizations-continue-recommend">latest recommendation</a>, the West Coast Health Alliance strongly supports that hepatitis B vaccination continue to be routinely offered to all newborns, with the first dose of the vaccine given within 24 hours of birth for newborns weighing at least 2,000 grams (4 pounds, 7 ounces), followed by completion of the vaccine series. This recommendation aligns with trusted national medical organizations including the <a href="https://publications.aap.org/aapnews/news/33914/ACIP-vote-on-hepatitis-B-vaccine-delayed-amid?autologincheck=redirected">American Academy of Pediatrics</a>, the <a href="https://www.acog.org/programs/immunization-infectious-disease-public-health/maternal-immunization-task-force/comments-to-cdc-advisory-committee-on-the-importance-of-guidance-for-maternal-and-infant-immunization">American College of Obstetricians and Gynecologists</a>, and the <a href="https://www.idsociety.org/~/link/32d1b62e77d74a7c9e19fd74f784e9e8.aspx4">Infectious Diseases Society of America</a>, and comes in response to the Advisory Committee on Immunization Practices recent vote to end the universal recommendation for hepatitis B vaccination.</p>
<h3>WSMA social media toolkit promoting vaccine safety </h3>
<p>The recent change in ACIP vaccine recommendations follows other concerning actions from our federal health agencies. During the Thanksgiving holiday week, the WSMA joined the <a href="https://wsma.informz.net/z/cjUucD9taT0xMjE4OTU0OCZwPTEmdT0xMDc4MTA4MzYwJmxpPTExOTA1MzYzMg/index.html">American Academy of Pediatrics</a>, the <a href="https://wsma.informz.net/z/cjUucD9taT0xMjE4OTU0OCZwPTEmdT0xMDc4MTA4MzYwJmxpPTExOTA1MzYzMw/index.html">Department of Health</a>, the <a href="https://wsma.informz.net/z/cjUucD9taT0xMjE4OTU0OCZwPTEmdT0xMDc4MTA4MzYwJmxpPTExOTA1MzYzNA/index.html">West Coast Health Alliance</a>, and many other leading medical, health, and patient advocacy groups to communicate on<a href="https://wsma.informz.net/z/cjUucD9taT0xMjE4OTU0OCZwPTEmdT0xMDc4MTA4MzYwJmxpPTExOTA1MzYzNQ/index.html"> X</a>, <a href="https://wsma.informz.net/z/cjUucD9taT0xMjE4OTU0OCZwPTEmdT0xMDc4MTA4MzYwJmxpPTExOTA1MzYzNg/index.html">LinkedIn</a>, <a href="https://wsma.informz.net/z/cjUucD9taT0xMjE4OTU0OCZwPTEmdT0xMDc4MTA4MzYwJmxpPTExOTA1MzYzNw/index.html">Facebook</a>, and <a href="https://wsma.informz.net/z/cjUucD9taT0xMjE4OTU0OCZwPTEmdT0xMDc4MTA4MzYwJmxpPTExOTA1MzYzOA/index.html">its website</a> that vaccines are not linked with autism. The effort came in response to content on the Centers for Disease Control and Prevention being revised to <a href="https://wsma.informz.net/z/cjUucD9taT0xMjE4OTU0OCZwPTEmdT0xMDc4MTA4MzYwJmxpPTExOTA1MzYzOQ/index.html">feature rhetoric that does not reflect the best-available science</a>.</p>
<p>To help our rapid response on social media, the WSMA relied on its most recent <a href="javascript://[Uploaded files/Advocacy/WSMA-Social-Toolkit-Q4-2025-Updated.docx]">social media toolkit</a>, which is dedicated to patient-friendly messages advocating for vaccine safety and other evidence-based health guidance. This week, we've updated the toolkit to include messaging supporting hepatitis B vaccination of newborns. If you or your organization uses social media, you can help us spread the word by sharing these messages through your accounts.</p>
<p>The WSMA is actively working to highlight trusted, evidence-based health messages in the public arena as part of our AMA-driven "Your Care Is at Our Core" campaign to restore patient trust and the patient-physician relationship. Learn more on the <a href="[@]wsma/advocacy/your-care-is-at-our-core/wsma/advocacy/your-care-is-at-our-core.aspx?hkey=e7b72239-4fec-4a55-92d9-462cbf769389">WSMA website</a>.</p>
</div> | 12/11/2025 12:00:00 AM | 1/1/0001 12:00:00 AM |
| 5-dates-you-need-to-know-for-the-2026-legislative-session | 5 Dates You Need to Know for the 2026 Legislative Session | Latest_News | Shared_Content/News/advocacy-report/2025/december-5/5-dates-you-need-to-know-for-the-2026-legislative-session | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/advocacy-report/2025/december/stock-image-2025-wa-state-capitol-fall-large-for-web.jpg" class="pull-right" alt="Washington state capitol building seen through trees" /></div>
<h5>Dec. 5, 2025 </h5>
<h2>5 Dates You Need to Know for the 2026 Legislative Session </h2>
<ul>
<li><strong>Dec. 4 - Election certification</strong>: There were nine special elections for state legislative positions across six legislative districts on the ballot this year. Democrats retained all nine seats to maintain strong majorities in both the state House and Senate. The election was certified yesterday, Dec. 4, and is another step in the process toward swearing in new and returning legislators for the 2026 session. </li>
<li><strong>Mid-December - Gov. Bob Ferguson's budget proposal</strong>: By law, the governor must annually propose a budget by Dec. 20. The 2026 legislative session takes place in a supplemental budget year, meaning lawmakers' focus is typically on making tweaks to last session's enacted two-year budget. This will be Gov. Ferguson's first opportunity to propose a comprehensive budget to the Legislature, against the backdrop of a worsening state budget gap and state impacts of cuts from H.R. 1 at the federal level. </li>
<li><strong>Jan. 7 at 5:30 p.m. - WSMA pre-session webinar</strong>: Join WSMA's government affairs team for a legislative update via Zoom at 5:30 p.m. on Wednesday, Jan. 7. We'll run through our priority issues for the 2026 session and everything else in Olympia that will be impacting patient care and the physician community when session starts on Jan. 12. <a href="https://us06web.zoom.us/meeting/register/OnbzytQKSgKIfMlltbnTnQ#/registration">Registration is required</a>. You will receive a confirmation email containing the connection details after completing the registration. </li>
<li><strong>Jan. 28 - 2026 WSMA Legislative Summit</strong>: The Summit takes place at the Washington State Capitol in Olympia and gives Washington's physicians, physician assistants, residents, and medical students an opportunity to amplify our advocacy message with state legislators. The event will include updates from health care policy leaders, information on WSMA's legislative agenda, and optional meetings with your local legislators. This event is free for WSMA members and space is limited so <a href="[@]wsma/events/legislative_summit/wsma/events/wsma_legislative_summit/legislative_summit.aspx?hkey=795731a5-79ba-45b0-b78b-b9dfbfc336e5">register today</a>! </li>
<li><strong>March 12 - Sine die</strong>: The 2026 legislative session is a short, 60-day session scheduled to adjourn on March 12, provided legislators do not need additional time to work through budget or policy issues that would require a special session. </li>
</ul>
</div> | 12/5/2025 12:00:00 AM | 1/1/0001 12:00:00 AM |
| doh-update-on-respiratory-viruses-including-highly-pathogenic-avian-influenza | DOH Update on Respiratory Viruses, Including Highly Pathogenic Avian Influenza | Latest_News | Shared_Content/News/advocacy-report/2025/december-5/doh-update-on-respiratory-viruses-including-highly-pathogenic-avian-influenza | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/advocacy-report/2025/december/getty-images-43gphjyczae-unsplash-for-web.jpg" class="pull-right" alt="Masked patient getting a vaccination" /></div>
<h5>Dec. 5, 2025 </h5>
<h2>DOH Update on Respiratory Viruses, Including Highly Pathogenic Avian Influenza </h2>
<p>As respiratory virus season approaches, the Washington State Department of Health encourages all Washington residents to protect themselves by getting updated vaccines for <a href="https://doh.wa.gov/you-and-your-family/immunization/diseases-and-vaccines/covid-19">COVID-19</a>, <a href="https://doh.wa.gov/public-health-provider-resources/public-health-system-resources-and-services/immunization/influenza-flu-information">flu</a>, and <a href="https://doh.wa.gov/you-and-your-family/immunization/diseases-and-vaccines/respiratory-syncytial-virus-rsv">RSV</a>, if recommended. The DOH <a href="https://doh.wa.gov/data-and-statistical-reports/diseases-and-chronic-conditions/communicable-disease-surveillance-data/respiratory-illness-data-dashboard">Respiratory Illness Dashboard</a> shows that while COVID-19 activity is decreasing from an early autumn peak, emergency department visits and hospitalizations for influenza and RSV are starting to slowly climb and are expected to continue rising in the coming weeks. Influenza positive laboratory tests are also increasing according to the DOH <a href="https://doh.wa.gov/data-and-statistical-reports/diseases-and-chronic-conditions/communicable-disease-surveillance-data/influenza-surveillance-data">Weekly Influenza Update</a>. </p>
<p>A Grays Harbor County resident with <a href="https://doh.wa.gov/newsroom/grays-harbor-county-resident-dies-complications-avian-influenza">H5N5 avian influenza died in November</a>. Exposure to domestic poultry, their environment, or wild birds were the most likely source of exposure for this patient. The risk of avian influenza increases in the fall and winter because migratory birds can carry the virus and spread it to domestic animals, including commercial poultry farms and backyard flocks. </p>
<p>Physicians should consider highly pathogenic avian influenza infection in patients who present with acute respiratory illness, isolated conjunctivitis, or influenza-like illness. Assess patients with suspected or confirmed influenza for exposure to wild, captive, and livestock animals, including poultry and cattle; sick or dead animals or their environment, including pets; consuming or handling raw animal products (e.g., raw cow milk, products made with raw cow milk, and raw meat-based pet food); or recent close contact with a symptomatic person who is suspected or confirmed to have avian influenza. Additional details on highly pathogenic avian influenza are available from the <a href="https://doh.wa.gov/sites/default/files/2025-11/ProviderAlert-H5N5-11-2025.pdf" target="_blank" rel="noreferrer">Department of Health's recent provider alert.</a> </p>
</div> | 12/5/2025 12:00:00 AM | 1/1/0001 12:00:00 AM |
| join-wsma-in-urging-washingtons-congressional-delegation-to-extend-enhanced-premium-tax-credits | Join WSMA in Urging Washington's Congressional Delegation to Extend Enhanced Premium Tax Credits | Latest_News | Shared_Content/News/advocacy-report/2025/november-21/join-wsma-in-urging-washingtons-congressional-delegation-to-extend-enhanced-premium-tax-credits | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/advocacy-report/2025/november/aca-stock-image-645px.jpg" class="pull-right" alt="Text on a page, with Affordable Care Act highlighted" /></div>
<h5>Nov. 21, 2025 </h5>
<h2>Join WSMA in Urging Washington's Congressional Delegation to Extend Enhanced Premium Tax Credits </h2>
<p>The WSMA sent letters to members of Washington's congressional delegation this week urging action before year's end to extend the enhanced premium tax credits and protect patients from major health insurance premium increases. Our letter highlighted the impact on coverage affordability, market stability, and continuity of care for communities across our state.</p>
<p>If Congress fails to reauthorize the tax credits, an estimated 216,000 Washingtonians will be affected, with many likely to drop their insurance coverage. These potential losses would compound the harmful Medicaid cuts included in H.R. 1, the "One Big Beautiful Bill" that passed in July, which KFF estimates will reduce Medicaid spending in Washington by $4.75 billion when the <a href="https://wsma.informz.net/z/cjUucD9taT0xMjE3MDUwOSZwPTEmdT0xMDkzMTc0NjI5JmxpPTExODc4NzI3NQ/index.html">bill takes effect</a>. To see how your congressional district would be impacted, visit Washington Health Benefit Exchange's <a href="https://wsma.informz.net/z/cjUucD9taT0xMjE3MDUwOSZwPTEmdT0xMDkzMTc0NjI5JmxpPTExODc4NzI3Ng/index.html">Legislative Reports &amp; Presentations page</a>.</p>
<p>Now we need your voice, too. Please take a moment to participate in our call to action and send a message to your <a href="https://takeaction.wsma.org/urge-lawmakers-to-extend-enhanced-premium-tax-credits-house/" target="_blank">representatives</a> and <a href="https://takeaction.wsma.org/urge-lawmakers-to-extend-enhanced-premium-tax-credits-senate/" target="_blank">senators</a>. Your advocacy helps ensure Congress understands the real-world consequences for Washington patients and practices.</p>
</div> | 11/21/2025 12:00:00 AM | 1/1/0001 12:00:00 AM |
| legislators-to-convene-in-olympia-as-2026-session-nears | Legislators to Convene in Olympia as 2026 Session Nears | Latest_News | Shared_Content/News/advocacy-report/2025/november-21/legislators-to-convene-in-olympia-as-2026-session-nears | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/advocacy-report/2025/november/stock-image-2025-wa-state-capitol-fall-large-for-web.jpg" class="pull-right" alt="State capitol building visible through trees" /></div>
<h5>Nov. 21, 2025 </h5>
<h2>Legislators to Convene in Olympia as 2026 Session Nears </h2>
<p>State lawmakers will be at the Capitol the week of Dec. 1 for legislative committee assembly, an annual event intended to provide a preview of the upcoming legislative session that begins on Jan. 12 and allow legislators and stakeholders to reconnect. Standing legislative committees meet in conjunction with the event, with the House Health Care and Wellness Committee receiving updates on artificial intelligence in health care and certificate of need, and the Senate Health and Long Term Care Committee considering palliative care and health care pricing transparency. The full schedule of committee meetings can be found <a href="https://app.leg.wa.gov/committeeschedules/Home#//0/11-18-2025/12-18-2025/Schedule///Bill/">here</a>.</p>
<p>WSMA staff will use the opportunity to share information with legislators about our priorities for the 2026 session of maintaining access to care for Medicaid enrollees and increasing reimbursement rates; mitigating the business and occupation tax increase; reforming prior authorization; preserving access to vaccines and preventative services; promoting medical title transparency; and defending against inappropriate scope of practice proposals. We will also be connecting with lobbyists from the physician community and other allies.</p>
<p>Legislative budget writers got marginally good news this week in the final state revenue forecast of the year, with a nominal uptick in anticipated tax collections. The state is still expected to face a considerable deficit of at least $2 billion that will need to be reconciled in the 2026 session, however, following a $16 billion budget gap that was bridged earlier this year through a combination of tax increases and spending cuts.</p>
<p>Further tax increases and budget cuts are expected to be considered in the coming months. On the revenue side of the ledger, a new high-earner income tax <a href="https://washingtonstatestandard.com/2025/10/30/washington-state-democrats-look-at-imposing-income-tax-on-higher-earners/">is being floated</a>, joining existing proposals to establish a state wealth tax and another to create a payroll tax along the lines of what is in place in the city of Seattle. The WSMA will engage extensively in conversations around the state budget, looking to defend against cuts to health care programs and ensure that tax proposals do not adversely impact physician organizations.</p>
</div> | 11/21/2025 12:00:00 AM | 1/1/0001 12:00:00 AM |
| registration-now-available-for-all-physician-leadership-trainings-in-2026 | Registration Now Available for All Physician Leadership Trainings in 2026 | Latest_News | Shared_Content/News/Membership_Memo/2025/november-14/registration-now-available-for-all-physician-leadership-trainings-in-2026 | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2025/november/image002.jpg" class="pull-right" alt="people in meeting room listening to a speaker" /></div>
<h5>Nov. 14, 2025</h5>
<h2>Registration Now Available for All Physician Leadership Trainings in 2026 </h2>
<p>Make the WSMA's Center for Leadership Development your home for professional development in 2026, to help you hone competencies not taught in medical school but increasingly important to thrive in your chosen career path both professionally and personally. You'll join a growing cohort of physician alumni throughout Washington state, many of whom have since moved into leadership tracks in their practice settings. WSMA's leadership courses are led by Edward A. Walker, MD, MHA. Non-WSMA member pricing is available for all courses. These activities have been approved for <em>AMA PRA Category 1 Credit</em>â„¢.</p>
<h3><strong>Physician Leadership Course - </strong><strong><em>Most popular! </em></strong> </h3>
<p><em>Two hybrid-distance options available </em> </p>
<p>The WSMA's <a href="[@]wsma/education/physician_leadership/physician_leadership_course/wsma/physician_leadership/physician_leadership_course/physician_leadership_course.aspx?hkey=efdc4ad1-ff20-4089-ab51-caafbe73572b">Physician Leadership Course</a> combines face-to-face and online learning to enable physicians and physician assistants to begin developing and honing their leadership skills at their convenience. Designed with a physician's busy schedule in mind, only three in-person classes are required; the remainder of the course is conducted online. Two sessions will be offered in 2026. Space is limited; <a href="[@]wsma/education/physician_leadership/physician_leadership_course/wsma/physician_leadership/physician_leadership_course/physician_leadership_course.aspx?hkey=efdc4ad1-ff20-4089-ab51-caafbe73572b">register</a> to reserve your spot today.</p>
<p>March 6 - May 8, 2026 - <em>Space is filling fast, register soon! </em> </p>
<p>Sept. 11 - Nov. 20, 2026</p>
<h3><strong>Team-Based Leadership Course </strong></h3>
<p> </p>
<p><em>Sept. 18 - Oct. 16, 2026 </em> </p>
<p>A month-long hybrid-distance course with three live educational workshop days intended for physicians and their administrative partners who wish to improve team function and achieve greater operational success. The <a href="[@]wsma/education/physician_leadership/team-based-leadership-course/wsma/physician_leadership/dyad_leadership_course/dyad_leadership_course.aspx?hkey=37c40fee-c1ac-4056-a613-cd82a083db6c">Team-Based Leadership Course</a> develops knowledge and skills based on your operational needs and is adapted to fit the specific clinical culture of participating teams. Registrants must have completed the WSMA Physician Leadership Course or be on a leadership track within their practice or organization. Space is limited; <a href="[@]wsma/education/physician_leadership/team-based-leadership-course/wsma/physician_leadership/dyad_leadership_course/dyad_leadership_course.aspx?hkey=37c40fee-c1ac-4056-a613-cd82a083db6c">register</a> to reserve your spot today.</p>
<h3><strong>Leadership Masterclass </strong></h3>
<p> </p>
<p><em>Oct. 8-10, 2026 </em> </p>
<p>WSMA's <a href="[@]wsma/education/physician_leadership/leadership_masterclass/wsma/physician_leadership/leadership_masterclass/leadership_masterclass.aspx?hkey=b3ffc0a4-6cad-4a06-98aa-6e1a5e1e64b2">Leadership Masterclass</a> is an intensive three-day adaptive-learning course that examines the complex challenges faced by seasoned physician leaders and provides the tools necessary to solve them. The course will provide additional growth opportunities to physicians who have completed our <a href="https://wsma.informz.net/z/cjUucD9taT0xMjE0OTkwNiZwPTEmdT0xMDc4MTA4MzYwJmxpPTExODQ3MjUwNw/index.html">Physician Leadership Course</a> and have moved on to middle levels of management in their facilities. Space is limited; <a href="[@]wsma/education/physician_leadership/leadership_masterclass/wsma/physician_leadership/leadership_masterclass/leadership_masterclass.aspx?hkey=b3ffc0a4-6cad-4a06-98aa-6e1a5e1e64b2">register</a> to reserve your spot today.</p>
<h3><strong>WSMA LEAD Program</strong></h3>
<p> </p>
<p><em>Flexible schedules</em> </p>
<p>Looking for one-on-one leadership coaching? Check out WSMA's LEAD Program, an integrated model that combines traditional coaching with operational mentorship advice. Perfect for physicians or physician assistants who may prefer more personalized and flexible education. Learn more on the <a href="https://wsma.informz.net/z/cjUucD9taT0xMjE0OTkwNiZwPTEmdT0xMDc4MTA4MzYwJmxpPTExODQ3MjUxMA/index.html">program webpage</a> </p>
<h3><strong>Questions</strong></h3>
<p> </p>
<p>Visit the <a href="https://wsma.informz.net/z/cjUucD9taT0xMjE0OTkwNiZwPTEmdT0xMDc4MTA4MzYwJmxpPTExODQ3MjUwOQ/index.html">WSMA Center for Leadership Development</a> to learn more about these courses and other resources designed with your career and personal development in mind. Questions? Contact <a href="mailto:monica@wsma.org">Monica Salgaonkar</a>.</p>
</div> | 11/14/2025 12:00:00 AM | 1/1/0001 12:00:00 AM |
| wsma-joins-others-in-calling-for-hhs-secretary-kennedys-resignation | WSMA Joins Others in Calling for HHS Secretary Kennedy's Resignation | Latest_News | Shared_Content/News/Membership_Memo/2025/november-14/wsma-joins-others-in-calling-for-hhs-secretary-kennedys-resignation | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2025/november/dept-health-and-human-services-hq-sign-washington-dc-2025-02-07-13-58-43-1.jpg" class="pull-right" alt="HHS Building" /></div>
<h5>Nov. 14, 2025</h5>
<h2>WSMA Joins Others in Calling for HHS Secretary Kennedy's Resignation </h2>
<p>WSMA President Bridget Bush, MD, this week issued a message to WSMA members: </p>
<p>"Earlier this year, the Washington State Medical Association issued a <a href="[@]Shared_Content/News/Press_Release/2025/president-john-bramhall-md-phd-reaffirms-the-wsmas-commitment-to-medical-ethics">statement</a> reaffirming its support for the AMA Principles of Medical Ethics, a code of conduct for the physician profession that calls for a dedication to professional integrity and a recognition of patient welfare as paramount. That statement was prompted by a series of concerning actions from our federal administration, central among them the confirmation of Robert F. Kennedy Jr. as the country's leading authority on matters of health care over the concerns of thousands of <a href="https://www.documentcloud.org/documents/25482818-committee-to-protect-health-care-rfk-jr/">physicians</a> and <a href="https://www.nytimes.com/2024/12/09/health/kennedy-hhs-nobel-laureates.html">scientists</a> who pointed to his lack of credentials, his lack of respect for scientific evidence, and his attacks on established medical approaches to disease prevention, such as vaccination, as rendering him unsuitable for assuming the charge of Americans' health and welfare.</p>
<p>"Soon after releasing that statement, the WSMA was compelled to <a href="[@]Shared_Content/News/Press_Release/2025/defendants-in-wsma-v-kennedy-agree-to-restore-deleted-public-health-data">sue Sec. Kennedy and the Department of Health and Human Services</a> to stop the deletion of vital public health and science data from taxpayer-funded websites. We believed this nonpartisan action was critical for restoring information access, promoting transparency, and supporting the evidence-based decision-making at the heart of the patient-physician relationship, and fully in accordance with the ethical principles that guide the physician profession.</p>
<p>"Now, at the request of the Infectious Diseases Society of Washington, the WSMA has joined more than 50 medical organizations, including more than 20 national medical associations, in signing on to <a href="https://www.idsociety.org/news--publications-new/articles/2025/joint-statement-calling-for-secretary-kennedy-resignation/">a letter calling for Secretary Kennedy's resignation to protect the health of the American people</a>. This decision was reached after careful consideration by our executive committee and board of trustees.</p>
<p>"This is not a political or partisan stance, but rather one grounded in what's best for patients and community health and wellness. As trained health care professionals, we have a responsibility to speak when we see anti-science actions that undermine public health and safety of our patients. In the past several months, we have witnessed a consistent pattern of behavior that has undermined scientific integrity, disrupted the work of our Centers for Disease Control and Prevention and Department of Health and Human Services, sowed vaccine policy disinformation and confusion, and helped to spread unproven and dangerous medical advice.</p>
<p>"We cannot stand by and tolerate these injustices to our population which will inevitably cost lives. We stand with the 50 medical organizations, as well as the American Academy of Family Physicians, the American College of Physicians, and others who call for the replacement of Secretary Kennedy with an appointee who has appropriate experience and expertise, who will make health care decisions based on accurate data and scientific findings." </p>
<h3>Keep WSMA's voice strong </h3>
<p>Regardless of the challenges confronting us, providing leadership for Washington's physician community and ensuring physicians have a strong voice for safe, quality, and equitable care is WSMA's value proposition to its members. Membership support makes our work for you possible. Please take a moment to <a href="[@]wsma/membership/join_renew/wsma/membership/join_renew/join_renew.aspx?hkey=37a820cf-9d05-4812-b9dd-c29b9a75356d">renew your membership for 2026</a>. Thank you.</p>
</div> | 11/14/2025 12:00:00 AM | 1/1/0001 12:00:00 AM |
| wsma-reports-the-intersection-of-wall-street-and-the-exam-room | WSMA Reports: The Intersection of Wall Street and the Exam Room | Latest_News | Shared_Content/News/Membership_Memo/2025/november-14/wsma-reports-the-intersection-of-wall-street-and-the-exam-room | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2025/november/nov-dec-2025-reports-cover-cropped-645x425px.png" class="pull-right" alt="WSMA Reports November/December 2025 cover" /></div>
<h5>Nov. 14, 2025</h5>
<h2>WSMA Reports: The Intersection of Wall Street and the Exam Room </h2>
<p>The growing presence of private equity in the health care industry has sparked a debate about the corporate practice of medicine, with some concerned about the potential for interference in clinical care and others seeing private equity investment as an opportunity to maintain the viability and independence of their organizations. For our <a href="[@]Shared_Content/News/Latest_News/2025/the-intersection-of-wall-street-and-the-exam-room">November/December 2025 <em>WSMA Reports </em>feature story</a> (members only; sign-in required), writer John Gallagher talks with WSMA members on both sides of the issue, as well as legal experts and WSMA staff on the regulatory environment in Washington state and what to expect during the 2026 legislative session.</p>
<p>Elsewhere, feature writer Rita Colorito checks in Washington physicians and subject matter experts to discuss <a href="[@]Shared_Content/News/Latest_News/2025/healthy-food-resources-better-health">"food is medicine"</a> (members only; sign-in required), the evidence-based movement to integrate healthy food into health care delivery.</p>
<p>Meanwhile, with today's outpatient settings coming in all shapes and sizes, peer review-once viewed as a punitive process-has become a strategic necessity to ensure patient safety and clinical excellence. Our trusted partners at Physicians Insurance <a href="[@]Shared_Content/News/Latest_News/2025/a-safer-smarter-approach-to-peer-review-and-patient-care">explain why</a>.</p>
<p>Download the <a href="https://wsma.org/doc_library/news/wsma-reports-6-nov-dec-2025.pdf" target="_blank">November/December 2025 <em>WSMA Reports</em></a>.&nbsp;</p>
<p>Also in the issue: </p>
<ul>
<li>Member spotlight on <a href="[@]Shared_Content/News/Latest_News/2025/member-spotlight-lucinda-grande-md">Lucinda (Cindy) Grande, MD</a>.</li>
<li>A photo recap of the 2025 WSMA Annual Meeting.</li>
<li><a href="[@]Shared_Content/News/Latest_News/2025/doctors-making-a-difference-patricia-egwuatu-do">Patricia Egwuatu, DO</a> is a doctor making a difference.</li>
<li>Food is medicine by the numbers.</li>
<li><a href="[@]Shared_Content/News/Latest_News/2025/advocates-for-health-and-humanity.aspx">Heartbeat: Two poems by Toren Davis, DO, and Bridget Bush, MD</a>.</li>
<li>And more.</li>
</ul>
<p>This issue's cover illustration is by <a href="https://www.purplerainillustrators.com/mar-hernndez-malota/editorial">Mar Hernández</a>.</p>
</div> | 11/14/2025 12:00:00 AM | 1/1/0001 12:00:00 AM |
| wsma-social-media-toolkit-and-initiative-dedicated-to-promoting-evidence-based-health-guidance | WSMA Social Media Toolkit and Initiative Dedicated to Promoting Evidence-Based Health Guidance | Latest_News | Shared_Content/News/Membership_Memo/2025/november-14/wsma-social-media-toolkit-and-initiative-dedicated-to-promoting-evidence-based-health-guidance | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2025/november/teen-with-smartphone-645x425px.jpg" class="pull-right" alt="Person using a smartphone" /></div>
<h5>Nov. 14, 2025</h5>
<h2>WSMA Social Media Toolkit and Initiative Dedicated to Promoting Evidence-Based Health Guidance </h2>
<p>To help counter the spread of incorrect or misleading health guidance in the news, whether from recent federal pronouncements or from viral social media, the WSMA is actively working to highlight trusted, evidence-based health messages in the public arena. For trusted health guidance, we turn to our "big five" association partners: the American Academy of Pediatrics, the American Academy of Family Physicians, the American College of Obstetricians and Gynecologists, the American College of Physicians, and the American Psychiatric Association. To reach patients, the WSMA is leveraging its digital communications tools, including its website and social media channels, and network effects by disseminating toolkits and information broadly to the physician community. Helping patients to navigate health guidance is a key plank of our AMA-driven "Your Care Is at Our Core" campaign to restore patient trust and the patient-physician relationship.</p>
<p>In an example of this effort, ACOG recently asked that we help to highlight their patient guidance on <a href="https://www.acog.org/womens-health/experts-and-stories/ask-acog/is-it-safe-to-take-acetaminophen-during-pregnancy">acetaminophen during pregnancy</a>. We've since posted the ACOG statement on our website and our social accounts and incorporated the message into a new social media toolkit. As news breaks at the federal level that may cause confusion, the WSMA will use these dedicated channels for our specialty partners to post the facts.</p>
<p>Two new resources are now available to members: </p>
<ul>
<li>New WSMA webpage for patients: <a href="[@]wsma/resources/Questions_About_Your_Care/do_you_have_questions_about_your_care.aspx">Do You Have Questions About Your Care?</a> </li>
<li>New <a href="javascript://[Uploaded files/Advocacy/WSMA-Social-Toolkit-Q4-2025.docx]">social media toolkit</a> for physicians and physician organizations.</li>
</ul>
<p>If there are any messages your organization would like us to consider for this effort, please send to WSMA Communications Manager Katie Howard at <a href="mailto:katiehoward@wsma.org">katiehoward@wsma.org</a> at any time.</p>
</div> | 11/14/2025 12:00:00 AM | 1/1/0001 12:00:00 AM |
| wsma-supports-legislation-to-repeal-medicare-prior-authorization-pilot-program | WSMA Supports Legislation to Repeal Medicare Prior Authorization Pilot Program | Latest_News | Shared_Content/News/Membership_Memo/2025/november-14/wsma-supports-legislation-to-repeal-medicare-prior-authorization-pilot-program | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2025/november/doc-on-phone-prior-auth-istock-187203977-645x425px.jpg" class="pull-right" alt="doctor on phone, rubbing temple of head" /></div>
<h5>Nov. 14, 2025</h5>
<!-- ***************************************************** -->
<h2>WSMA Supports Legislation to Repeal Medicare Prior Authorization Pilot Program </h2>
<p>The WSMA is supporting a bill introduced in the U.S. House of Representatives last week that seeks to block the <a href="[@]Shared_Content/News/advocacy-report/2025/september-5/medicare-launching-ai-prior-authorization-pilot-program">new Medicare prior authorization pilot program</a> due to begin in January in select states. Sponsored by Suzan DelBene (WA-0) and co-signed by Kim Schrier, MD (WA-08) and Rick Larsen (WA-02) among others, the Seniors Deserve SMARTER (Streamlined Medical Approvals for Timely, Efficient Recovery) Care Act would repeal the Wasteful and Inappropriate Service Reduction model, the utilization management demonstration being piloted by the Centers for Medicare and Medicaid Services in Washington as well as Arizona, New Jersey, Ohio, Oklahoma, and Texas.</p>
<p>In addition to advocating for the bill's passage, the WSMA continues to raise concerns about the pilot program, which will apply prior authorization requirements to selected services with third-party artificial intelligence vendors playing a significant role in determinations. As we reported in last week's Advocacy Report, the WSMA led a coalition of state medical associations from the six impacted states to send a <a href="https://wsma.informz.net/WSMA/data/images/Attachments/WISeR%20coalition%20letter_11042025.pdf" target="_blank" rel="noreferrer">letter to CMS Administrator Dr. Mehmet Oz expressing serious concerns</a> about the model. In our letter, we stress the following points: </p>
<ul>
<li>While the program aims to improve accountability and reduce waste in Medicare, its current design could delay care, reduce access, and increase administrative burdens on physicians and patients alike.</li>
<li>The WISeR Model expands the burdensome prior authorization processes that physicians already experience in Medicare Advantage and the commercial insurance markets into traditional Medicare.</li>
<li>The vendor incentive structure within the WISeR Model could result in excessive denials motivated more by the potential for vendor profit than by fair and balanced clinical judgment. (Note: CMS announced last week that Virtix Health would serve as the AI vendor for Washington state.) </li>
</ul>
<p>About half of Washington state's 1.6 million Medicare beneficiaries are enrolled in traditional Medicare. With this controversial program, those Washingtonians will soon be at risk of experiencing the same care delays and denials familiar to physicians and that increasingly characterize prior authorization in the media. With patient care a top priority, the WSMA is continuing to share our concerns with the public, with recent stories published in the <a href="https://click.everyaction.com/k/115976411/572075883/-4717972?nvep=ew0KICAiVGVuYW50VXJpIjogIm5ncHZhbjovL3Zhbi9TTldTUi9TTldTUi8xLzEwNDc4MiIsDQogICJEaXN0cmlidXRpb25VbmlxdWVJZCI6ICJiMDVlZjZkMy1lODlhLWYwMTEtOGU2MS02MDQ1YmRlZDhiYTQiLA0KICAiRW1haWxBZGRyZXNzIjogInNlYW5Ad3NtYS5vcmciDQp9&amp;hmac=qm-hqbZyZ_Osk7fvc7XWxDMgAvbLJ8O2Jdqahdaaetw=&amp;emci=b20653d1-679a-f011-b485-6045bda9d96b&amp;emdi=b05ef6d3-e89a-f011-8e61-6045bded8ba4&amp;ceid=75533">Washington State Standard</a> and <a href="https://www.modernhealthcare.com/politics-regulation/mh-wiser-model-medicare-prior-authorization-providers/?utm_campaign=KHN%3A%20Daily%20Health%20Policy%20Report&amp;utm_medium=email&amp;_hsenc=p2ANqtz-_fpiSJiaVBK5k3huIh9T89mZeB879nNbMxTYW1X4R8nehBU2GUUUE3y6rRqBtiHgKHaQSmjSXmf4JBRiEwEsogl0v4iA&amp;_hsmi=388105771&amp;utm_content=388105771&amp;utm_source=hs_email">Modern Healthcare</a>.</p>
<p>The WSMA will keep members apprised of developments as the implementation date grows closer.</p>
</div> | 11/14/2025 12:00:00 AM | 1/1/0001 12:00:00 AM |
| advocates-for-health-and-humanity | Advocates for Health and Humanity | Latest_News | Shared_Content/News/Latest_News/2025/advocates-for-health-and-humanity | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/Reports/2025/november-december/heartbeat-website-image-davis-bush-645x425px.png" class="pull-right" alt="Heartbeat column graphic, with Toren Davis, DO and Bridget Bush, MD" /></div>
<h5>Nov. 12, 2025</h5>
<h2>Advocates for Health and Humanity</h2>
<p>
By Toren S. Davis, DO, And Bridget Bush, MD
</p>
<p>
<em>From the Editors:</em> It's not often that you have a poem to publish in a physician general interest magazine and it's that much rarer to have two. But in this issue, we thought that Heartbeat- our regular column featuring the passionate perspectives of individual members-would be the appropriate place to publish two such poems that found their way across our desks. Each is timely and beautiful, and we hope you agree.
</p>
<p> First, from WSMA member Toren Davis, DO, who says, "I wanted to share my poem that was published earlier this year about our duty to advocate for our patients and health. Please share to anyone you would like." </p>
<p>
<em>Through the ancient words of Hippocrates<br />
we took an oath to fight disease.<br />
To see each patient's entire person<br />
and the many ways their health may worsen.<br />
So what happens when it comes to be,<br />
that disease is born from policy?<br />
When the greatest threats to a person's health<br />
are politics, power, and prospect of wealth?<br />
As these disorders show their intent,<br />
the treatment plan includes dissent.<br />
To refute what brings a person harm,<br />
and project our voice to sound alarm.<br />
If we neglect or fail to act,<br />
our oath does not survive intact.<br />
And the human lives that are at stake,<br />
will lose their shield of staff and snake.</em>
</p>
<p>
Next, from WSMA's new president for 2025-2026, Bridget Bush, MD, come these moving lines, which she included in her inaugural speech before the WSMA House of Delegates. She says, "I've struggled with depression and feeling disconnected, and I've learned that it's healthy to have a mask-literally and figuratively-at work to stay safe. Sometimes it's vital to help you to compartmentalize so you don't fall apart when everything around you is falling apart. I've also learned, however, that you have to have people and places where you're safe without the mask."
</p>
<p>
<em>I wear a mask at work<br />
I wear a mask to work<br />
I hide behind professionalism<br />
I tell myself-my mask keeps me safe<br />
I tell myself-my mask keeps you safe<br />
The less you know of my pain<br />
The less I show of what's inside<br />
The safer we are<br />
From questions<br />
From looks<br />
From fear that I'm not enough<br />
Well enough<br />
Keep it together<br />
Keep it hidden<br />
Keep it to yourself<br />
They tell me wellness is putting my own mask on first<br />
Perhaps I should turn on the oxygen too<br />
</em>
</p>
<p>
To watch Dr. Bush deliver her inaugural address, visit <a href="https://wsma.org/annual-meeting">wsma.org/annual-meeting</a>.
</p>
<p>
<em><strong>Toren Davis, DO</strong>, is a family physician affiliated with PeaceHealth Southwest Medical Center in Vancouver. <strong>Bridget Bush, MD</strong>, is an anesthesiologist in Everett with Optum Care Washington and serves as president of the WSMA.</em>
</p>
<p>
<em>This article was featured in the November/December 2025 issue of WSMA Reports, WSMA's print magazine.</em>
</p>
</div> | 11/12/2025 12:00:00 AM | 1/1/0001 12:00:00 AM |
| a-safer-smarter-approach-to-peer-review-and-patient-care | A Safer, Smarter Approach to Peer Review and Patient Care | Latest_News | Shared_Content/News/Latest_News/2025/a-safer-smarter-approach-to-peer-review-and-patient-care | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/Reports/2025/november-december/nov-dec-2025-reports-cover-cropped-645x425px.png" class="pull-right" alt="cover image from November-December 2025 issue of WSMA Reports" /></div>
<h5>Nov. 11, 2025</h5>
<h2>A Safer, Smarter Approach to Peer Review and Patient Care</h2>
<p>
By Brock Bordelon, MD And Sara Cameron
</p>
<p>
In today's rapidly evolving health care environment, peer review is no longer simply an administrative requirement. It has become a strategic necessity to ensure patient safety and clinical excellence. Whether it's deployed properly in hospitals or outpatient facilities, peer review plays a pivotal role in elevating care quality, reducing risk, and strengthening trust across clinical teams.
</p>
<h3>From punitive to proactive</h3>
<p>
In the past, peer review was often viewed as a punitive process, focused on finding fault in individual clinicians after an adverse event. Today's best practices emphasize a vastly different approach: continuous quality monitoring. Instead of looking at isolated complications in hindsight, modern peer review focuses on real-time trends and system-level concerns.
</p>
<p>
This shift encourages timely, unbiased feedback and helps organizations intervene before problems escalate. Well-designed peer review should no longer be about catching mistakes. It should be about learning from them and ensuring they don't recur. Caring for patients is the bottom line of any setting, and it's the responsibility of the medical staff to ensure that patients are receiving quality care.
</p>
<h3>A foundation of patient safety</h3>
<p>
Peer review is more than a compliance box to check. It's a frontline defense for patient safety. By evaluating care delivery through structured, objective criteria, peer review helps identify both individual and systemic issues that might otherwise go unnoticed.
</p>
<p>
This is particularly crucial in outpatient settings, where the clinical infrastructure can vary widely. Whether reviewing clinical notes, follow-up protocols, or procedural outcomes, peer review provides an opportunity to catch small concerns before they become larger risks. That goes for patients, physicians, and organizations alike.
</p>
<h3>Powered by clinical quality data</h3>
<p>
One of the most important developments in peer review is its integration with clinical quality data. Rather than relying on subjective case reviews, modern peer-review efforts draw on outcome metrics, documentation audits, and data trends. This enables reviewers to make evidence-based decisions that reflect real patterns of care.
</p>
<p>
These insights are especially powerful when combined with other quality tools like incident reports, root cause analyses, and patient satisfaction data. When seen together, they paint a more accurate, and actionable, picture of clinical performance.
</p>
<p>
Such data integration also enables comparative benchmarking, allowing clinics to evaluate how their processes stack up against peers or national standards. This can drive targeted improvement efforts and reduce unwarranted variations in care.
</p>
<h3>Credentialing, privileging, and professional practice evaluation</h3>
<p>
Another essential function of peer review is its role in credentialing and privileging. Today, regulatory bodies and accrediting organizations increasingly expect health care settings to move beyond one- time verifications and engage in continuous assessment of professional practice.
</p>
<p>
Peer review is often the cornerstone of ongoing professional practice evaluation and focused professional practice evaluation. These processes ensure that clinicians are consistently performing within the scope of their training and privileges, and that any emerging issues are addressed proactively.
</p>
<p>
Peer review helps credentialing committees make informed, fair decisions based on data and peer insight rather than hearsay or incomplete records.
</p>
<h3>Building a culture of safety and trust</h3>
<p>
Effective peer review supports both patient outcomes and clinician well- being and organizational culture. A collaborative approach to peer review can strengthen trust among the health care team, reduce burnout, and create a shared sense of accountability.
</p>
<p>
To get there, organizations must invest in reviewer training, clear processes, and psychological safety. This ensures that clinicians can give and receive feedback without fear of reprisal. Peer review should be collegial, consistent, and constructive, not a tool for turf battles or punitive actions.
</p>
<h3>Getting started</h3>
<p>
For organizations looking to implement
or improve a peer-review program, we
recommend:
</p>
<ul>
<li>Start with structure: Define clear criteria, workflows, and timelines for reviews.</li>
<li>Use multidisciplinary reviewers: Engage peers from similar specialties who understand the nuances of the clinical scenarios being evaluated.</li>
<li>Leverage quality data: Integrate peer review with clinical dashboards, risk reports, and quality initiatives.</li>
<li>Link to professional development: Use insights to guide mentoring, education, and privileging decisions.</li>
</ul>
<h3>A smarter path to safer care</h3>
<p>
In the end, peer review is more than a regulatory checkbox. It's a practical, data-informed way to make care better. As health care organizations face increasing complexity, regulatory pressure, and patient expectations, a well-run peer-review process can help clinics and other outpatient settings stay ahead of risk, strengthen clinical teams, and keep patients safer. By embracing peer review as a tool for learning, health care organizations can lead with transparency, improve outcomes, and create a culture where quality is everyone's responsibility.
</p>
<p>
<em><strong>Brock Bordelon, MD, FACS</strong>, is a surgery medical director and <strong>Sara Cameron</strong> a director of professional services with MDReview - A Hardenbergh Company.</em>
</p>
<p>
<em>This article was featured in the November/December 2025 issue of WSMA Reports, WSMA's print magazine.</em>
</p>
</div> | 11/11/2025 12:00:00 AM | 1/1/0001 12:00:00 AM |
| doctors-making-a-difference-patricia-egwuatu-do | Doctors Making a Difference: Patricia Egwuatu, DO | Latest_News | Shared_Content/News/Latest_News/2025/doctors-making-a-difference-patricia-egwuatu-do | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/Reports/2025/november-december/dmd-website-image-egwuatu-645x425px.png" class="pull-right" alt="Doctors Making a Difference: Patricia Egwuatu, DO" /></div>
<h5>Nov. 10, 2025</h5>
<h2>Doctors Making a Difference: Patricia Egwuatu, DO</h2>
<p>
For Patricia Egwuatu, DO, a family physician at Kaiser Permanente's Capitol Hill clinic in Seattle, having conversations about evidence-based health information through her Instagram and TikTok accounts came as a natural extension of her commitment to advocacy and education. Her reach on social media has led to an even bigger platform: As a regular contributor on Fox 13's "Healthy Living" television segment, she's aiming to start conversations about topics that often don't make it out of the exam room and help the public make informed decisions about their health. She talked with <em>WSMA Reports</em> about what led her to the role and why physicians continue to be the best messengers for fact-based health care information.
</p>
<p>
<strong><em>WSMA Reports:</em> How did your role as a contributor to Fox 13's "Healthy Living" segment come about and why did you decide to do it?</strong>
</p>
<p>
<em>Dr. Egwuatu: </em>My interest in becoming a medical media correspondent started during residency. At the time, my sister was in medical school, and we often had conversations about our journeys and how we could encourage others to pursue careers in medicine. As Black female physicians, who represent only about 2% of the workforce, and as daughters of immigrants, we felt inspired to share our upbringing and experiences. That led us to start an Instagram account, which gained traction, opened doors to interviews, and gave us a platform to highlight our voices.
</p>
<p>
At the same time, I was deeply engaged in health equity work through my role as associate program director of equity, inclusion, and diversity. I began using social media, including Instagram and TikTok, to share evidence-based health information and connect with the community. That growing engagement in medical media, along with my work at Kaiser Permanente, ultimately led to the opportunity with Fox 13's "Healthy Living" segment.
</p>
<p>
I chose to do the segment because it allows me to extend my passion for advocacy and education beyond the clinic. It's a meaningful way to engage with the broader community while providing accessible, evidence-based health information that empowers people to make informed decisions about their health.
</p>
<p>
<strong>What topics do you feel are most important to be talking about in this context?</strong>
</p>
<p>
I think some of the most important topics to highlight are the conversations that often happen in the doctor's office but don't always make it into broader community discussions. Many people are looking for reliable information yet don't always know where to turn. For example, breast cancer screening or discussions around hormone testing and hormone replacement therapy are questions I frequently encounter. Segments like these are a valuable way to bring that information to the public in an accessible, evidence-based format so individuals feel empowered when making decisions about their health.
</p>
<p>
<strong>With limited time on air, how do you get the information across in a way that will be impactful for a broad audience?</strong>
</p>
<p>
I'm fortunate to have a great team at Kaiser Permanente that helps guide, research, and provide evidence-based information for each topic, which I then tailor with my own expertise. To make sure the message is impactful for a broad audience, I draw on my media training to present the information in a clear and digestible way. I also practice with my partner and my sister, who remind me to communicate as if I'm speaking directly to them making the conversation relatable and accessible.
</p>
<p>
<strong>Why do you think it's important to have a physician be the messenger for these types of public health topics?</strong>
</p>
<p>
Physicians are often viewed as a trusted source of information. We have the knowledge and expertise to provide evidence-based guidance, and that credibility helps ensure people feel confident in the information they're receiving, especially when it comes to making decisions about their health.
</p>
<p>
<strong>What are some challenges you see in reaching people with evidence-based public health information?</strong>
</p>
<p>
One of the biggest challenges is the sheer amount of information available today. People are constantly exposed to health messages from so many different sources, and not all of them are accurate. That can make it difficult to cut through the noise and highlight reliable, evidence-based information in a way that resonates with the public.
</p>
<p>
<em>This article was featured in the November/December 2025 issue of WSMA Reports, WSMA's print magazine.</em>
</p>
</div> | 11/10/2025 12:00:00 AM | 1/1/0001 12:00:00 AM |
| the-intersection-of-wall-street-and-the-exam-room | The Intersection of Wall Street and the Exam Room | Latest_News | Shared_Content/News/Latest_News/2025/the-intersection-of-wall-street-and-the-exam-room | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/Reports/2025/november-december/nov-dec-2025-reports-cover-cropped-645x425px.png" class="pull-right" alt="cover image from July-August 2025 issue of WSMA Reportscover image from July-August 2025 issue of WSMA Reports" /></div>
<h5>Nov. 10, 2025</h5>
<h2>The Intersection of Wall Street and the Exam Room</h2>
<p>
By John Gallagher
</p>
<h5>
<em>Members only; sign-in required.</em>
</h5>
<p>
In an era of increased financial pressures, practices struggle to remain independent. The result has been a huge upswing in consolidation, as some practices conclude that it is no longer feasible to remain a solo operation. "We saw hospitals get into the outpatient space in the 2010s. Then retailers came in, and then insurers," says WSMA CEO Jennifer Hanscom. "Now it's private equity."
</p>
<p>
The growing presence of private equity in medicine has sparked a debate about the corporate practice of medicine, or CPOM for short. CPOM is the legal concept that prohibits corporations, unless they are owned and controlled by physicians, from practicing medicine or dictating what physicians can do. Prompted by publicity about the negative effects of some private equity investments in health care, CPOM has become the focus of interest among legislators and physicians. A bill introduced in the Washington state Legislature last session would have placed stringent restrictions on the structure of corporate investment in practices in some instances. While the bill did not pass, it will be reintroduced in next year's session. (A bill with similar restrictions on CPOM was successfully passed by the Oregon state Legislature this year.)
</p>
<p>
Two resolutions introduced at the 2025 Annual Meeting of the WSMA House of Delegates in September also address the issue. One resolution called for "increased transparency, oversight, and regulatory safeguards for corporate and private equity acquisitions in health care." One of the sponsors of that resolution, Jose Flores-Rodarte, MD, a family physician who works in a federally qualified health center, says that private equity represents a unique threat to health care.
</p>
<p>
"I find it very concerning where Wall Street has reached out to acquire physician practices," says Dr. Flores- Rodarte. "The whole point is to turn the practice over and strip it for profits. If that's effective for a jewelry store, so what? While it's not a great practice, that's the economy we work in. Health care is different. It's a right."
</p>
<p>
At the same time, financial stresses are leaving practices with few options. "Some practices feel private equity investment is important for maintaining the viability of their organizations," says Sean Graham, WSMA's senior director of government affairs and policy. "It's a huge challenge for independent physician groups to maintain their viability in the face of all the pressures we know about."
</p>
<h3>CPOM: the law and the structures</h3>
<p>
As of 2024, 33 states have some form of CPOM law. Washington state's CPOM doctrine is based on case law and not legislation-yet is still generally considered to be one of the nation's strongest legal prohibitions. The fact that legislation was introduced last year to address CPOM indicates that, for some legislators and proponents, moving beyond case law to codifying in legislation is needed to strengthen the law further.
</p>
<p>
"This is a judge-made law," says attorney Luke Campbell, a member of the Health Law Section of the Washington State Bar Association. That said, there have been only a limited number of cases testing it. "It seems only to be infrequently applied right now by private litigants trying to avoid obligations, or by the Department of Health when there are threats to patient care," Campbell says.
</p>
<p>
Even so, says Campbell, the case law imposes limits. "There are only a handful of cases, but the courts have clearly stated that the CPOM doctrine exists and applies in Washington-this isn't some theoretical concept," he says. "What we don't have is published case law in Washington applying it to these modern private equity arrangements."
</p>
<p>
"Under Washington case law, courts look at the substance of the transaction and the reality of the business relationship to see what's really going on," Campbell says. If there is a question that the management company is too closely involved with the entity providing professional services or maintains a beneficial ownership interest in the practice, courts can-and have-intervened. In one example, a dentist and nondentist bought a building together that housed the dental practice. They structured the arrangement as a lease, with the dentist paying the nondentist "rent" equal to 50% of the practice's net profits-an amount that far exceeded the market rate for the building. When the dentist stopped paying, the case ended up in court. The court ruled that the percentage-based rent was really disguised profit sharing that gave the nondentist an illegal ownership interest in the dental practice itself, violating Washington's prohibition on nondentists owning or operating dental practices.
</p>
<p>
The existing case law would also suggest that the courts would closely scrutinize "friendly doctor" structures. Campbell has written that the structures "present material risks in Washington because, as described above, the courts have shown a willingness to look beyond formalities and into the essential nature of the relationship. For example, if the payments from the practice to the management company do not reflect fair market value for services but instead appear to reflect a return on an ownership interest, a Washington court may find that the relationship violates the CPOM doctrine."
</p>
<p>
The structures in place for CPOM are supposed to address the issues raised by the law.
</p>
<p>
The most common structure used by private equity investors gives physicians practice ownership while effectively transferring some functions and control of the practice to the management company through contractual relationships. Under this arrangement, the professional practice remains solely owned by licensed health care professionals, while the management company-which may include unlicensed investors-takes over some business operations. The practice transfers tangible assets and contracts to the management company, including real estate and equipment leases, while the management company provides administrative services such as billing, contracting, and strategic planning.
</p>
<h3>When private equity investment works</h3>
<p>
That common structure of private equity investment in a practice can be attractive in a market where there are limited financial options available. Moreover, practices sometimes feel the other available option is worse.
</p>
<p>
"When I have talked to physician practices, they went to private equity because they didn't want to sell to the local hospital system," says Hanscom. "A lot of times, the only option to stay independent is private equity. If you want a competitive marketplace and can't afford to make a go of it on your own, you need a funder."
</p>
<p>
The right partnership can work well, supporters of private equity investment say. Jarrod Durkee, MD, is medical director at RAYUS Radiology in Washington state, a subspecialty provider for advanced diagnostic and interventional radiology services with locations in more than 15 states. A separate entity, CDI Management Corp., is responsible for the nonclinical side of RAYUS.
</p>
<p>
The arrangement has been in place for almost 20 years. "They never tell us what to do clinically," says Dr. Durkee. "We make those decisions, we make those protocols. They never say to us, you need to see more patients, you need to perform more imaging. There's none of that going on."
</p>
<p>
What the management company does is handle the business side of the practice, including regulatory changes, infrastructure upgrades, and contracts. "I'm trained as a physician," says Dr. Durkee. "I'm not trained in building patient portals to see images and reports online. I don't know how to make those things happen. The same with talking to payers. That is their expertise." Because of the combined influence of RAYUS, Dr. Durkee says that his practice is able to get better deals than would otherwise have been the case.
</p>
<p>
Those savings can help patients. "As an independent physician group, we are at a minimum 30% to 40% less in what it costs patients than if they were to go to a hospital or closed system," says Dr. Durkee. "If you take away independent practices, patient access is going to be way more expensive."
</p>
<h3>The devil in the details</h3>
<p>
As in the RAYUS example, these structures have been in place in Washington state for years, typically involving individual arrangements between parties. But private equity is raising a whole new set of issues as its presence in health care increases rapidly, and, as investment in medical practices grows, private equity systematizes these arrangements and implements them broadly across multiple practices. An analysis earlier this year by the American Medical Association found that 6.5% of physicians said that their practice was private equity-owned, a jump from 4.5% since 2022. While the overall number is small, some specialties, such as orthopedics and ophthalmology, have seen substantial growth in private- equity investment over the past several years. By contrast, more than a third of physicians report working in hospital- owned practices.
</p>
<p>
For many observers, the devil can lie in the details of the management agreement. In some arrangements, particularly those using a "friendly doctor" structure, the management company gains substantial control through stock transfer restriction agreements or succession agreements. These provisions can restrict the physician from taking certain actions without the management company's consent, including hiring and firing employees-or even selling their ownership interest. In some cases, the agreements allow the management company to effectively remove and replace the physician owner if they don't comply with business directives. (This structure would have been barred under the proposed Washington state legislation.) Not all arrangements go this far. Some relationships maintain clearer boundaries between clinical autonomy and business management. The result is a sliding scale of control, with some physicians retaining meaningful independence while others may find themselves with ownership in name only.
</p>
<p>
While the law in Washington may be strong on its face, it is largely untested. For one thing, cases so far have largely involved disputes between two parties in an agreement. The potential pressure from a management company on a practice presents a more complicated scenario. "The reality is that the DOH [Department of Health] only responds to claims and is most concerned about harm to patients," says Campbell. "Unless it receives a complaint involving actual or potential patient harm, it doesn't seem that the DOH is interested in investigating these management company relationships."
</p>
<p>
Private equity has attracted a lot of attention primarily since much of the industry is so focused on profits. Some private equity investments in health care, particularly in hospitals, have resulted in widespread negative media coverage chronicling staffing shortages and bankruptcies at facilities that were bought out. Moreover, a study in the Journal of the American Medical Association in 2023 found that adverse events, including surgical infections, central line infections, and bed sores, skyrocketed among Medicare patients in the three years after a private equity fund bought a hospital. Another study showed significant price increases in 8 out of 10 practices acquired by private equity.
</p>
<p>
Such stories prompt worries among some physicians that CPOM has gotten out of control. Kim Ha Wadsworth, DO, a family physician who has a direct family care practice in Olympia, introduced a resolution at the September WSMA House of Delegates calling on the WSMA to support policy and legislation to strengthen CPOM restrictions in the state.
</p>
<p>
"Do we want lay people to have majority ownership of medical clinics?" she says. "If you have majority ownership, you make the decisions. That's really the crux of this policy question."
</p>
<p>
Dr. Wadsworth consciously chose a direct practice model so that she could focus on patients. "I want more of my colleagues to be able to enjoy medicine as it was meant to be before CPOM," she says. "We talk about the physician- patient relationship. When you are able to restore that connection, it brings back the joy of medicine. I'm looking at my colleagues who are suffering, and I know that there is a better way. We've done CPOM for 30 or 40 years, and how is that working for us? Physicians are burning out and talking about moral injury."
</p>
<p>
Dr. Flores-Rodarte echoes that sentiment that patients are suffering as a result. "These are questions about the quality of care that are at odds with what we do, which is our relationship with our patients," he says. "We're trying to do things in the best interest of the patient, when we're also trying to maximize profits for a private company. We've all had a favorite brand taken over by new owners, they extract the profit from it, and they destroy it. I don't want that to happen to our health care system."
</p>
<h3>Navigating the changing landscape</h3>
<p>
Dr. Durkee is sympathetic to physicians worried about corporate influence. "I understand and I agree that we don't want corporations telling us what to do as physicians, because that's not their area," he says. At the same time, he worries that too broad a crackdown on private equity will harm practices that actually do benefit from it.
</p>
<p>
"Are there bad actors out there? I'm sure there are. But don't throw everything out because they're under a certain label. That would cause more damage. Don't bring a shotgun when you need a surgical scalpel."
</p>
<p>
In point of fact, says Campbell, CPOM is now so embedded in the business of medicine that rolling back by the regulators may be impossible. "That ship seems to have sailed," he says. "Is the DOH going to suddenly take an aggressive enforcement position against these management-type service agreements? It seems unlikely that DOH will be the party to draw a line in the sand."
</p>
<p>
The main issue is how to maintain physician control over clinical decisions as the business of medicine continues to transform. "We all want clinical autonomy, first and foremost," says Hanscom. "But we also want to protect the workforce we have so that patients have access to the care they need. There's a lot of corporatization of health care. We need a comprehensive approach to it, something nuanced to the practice environment now, so as not aggravate problems and cause practice closures."
</p>
<p>
The likelihood of another CPOM bill being introduced in the Legislature next year will keep the issue front and center. "It's a new and complex issue," says Graham. "In my experience, what WSMA members are thinking about is that physicians should be in control of delivering care to patients."
</p>
<p>
The question is whether legislation can address physician concerns without creating new problems. "We don't want to make it more difficult for people to make the business decisions they want to make," says Hanscom. "We don't want to create a problem for physician owners who are already in relationships with private equity that they like."
</p>
<p>
No matter what happens in the next legislative session, the debate is unlikely to end. "We're all trying to struggle with how do we approach this," says Dr. Flores-Rodarte. "I don't think we have the answer, but we should be thinking about it."
</p>
<p>
<em>John Gallagher is a freelancer specializing in health care.</em>
</p>
<p>
<em>This article was featured in the November/December 2025 issue of WSMA Reports, WSMA's print magazine.</em>
</p>
</div> | 11/10/2025 12:00:00 AM | 1/1/0001 12:00:00 AM |
| everything-you-need-to-know-about-this-weeks-elections | Everything You Need to Know About This Week's Elections | Latest_News | Shared_Content/News/advocacy-report/2025/november-7/everything-you-need-to-know-about-this-weeks-elections | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/advocacy-report/2025/november/istock-1259154099-stethoscope-ballotbox-blue-background-645x425px.png" class="pull-right" alt="Ballot being placed in a ballot box emblazoned with a stethoscope" /></div>
<h5>Nov. 7, 2025 </h5>
<h2>Everything You Need to Know About This Week's Elections </h2>
<p>Thank you for your continued support of WAMPAC, the WSMA's campaign arm! </p>
<p>Please find an update on the preliminary 2025 general election results for state legislative races below. As a reminder, our state utilizes a mail-in voting system, and many ballots have not yet been tabulated (or in some cases received), so races can shift substantially in the coming days. We'll provide another update when results solidify and in the meantime you can stay up to date on the most recent ballot returns on the secretary of state's elections <a href="https://results.vote.wa.gov/results/20251104/">results webpage</a>.</p>
<h3>Early returns find Democrats sweeping special election races - general election results so far</h3>
<p>Off-election years often see fewer races of statewide consequence and lower voter turnout, however, this year there were nine special elections for state legislative seats on the ballot across six legislative districts. Going into this campaign season, Democrats held all nine seats up for grabs, but Republicans hoped to flip seats in several competitive districts by capitalizing on the tax-heavy session led by legislative democrats. Meanwhile, Democrats focused their efforts on the state-level impacts created by the passage of H.R. 1 and the challenging national climate led by President Donald Trump.</p>
<p>Against the backdrop of a federal government shutdown, ballots hit mailboxes. Based on early ballot returns, Democrats appear poised to retain all seats up for election, including those in districts considered reliably blue and competitive. At the time of this writing, there are still a significant number of ballots yet to be counted so it is possible, and in some cases likely, for gaps between candidates to narrow and races to shift substantially.</p>
<p>Nevertheless, Democrats will continue to hold strong majorities in both the House and Senate and if these results hold, we expect Democrats to cite this outcome as voter approval of recent policy decisions and therefore a mandate to continue carrying out their progressive agenda.</p>
<h3>5th Legislative District </h3>
<p>State Sen. Bill Ramos died unexpectedly on April 19, and Rep. Victoria Hunt was appointed to the Senate. Sen. Hunt is running to retain the seat, facing Republican candidate Chad Magendanz, a former state legislator. Despite the district being reliably Democratic in recent years, it has a history of divided representation and is considered potentially competitive. The 5th District includes Issaquah, Renton, and Snoqualmie, among other areas.</p>
<ul>
<li>Sen. Victoria Hunt (D): 55.58% </li>
<li>Chad Magendaz (R): 44.33% </li>
</ul>
<h3>26th Legislative District </h3>
<p>Former state Sen. Emily Randall was elected to Congress during the 2024 elections, creating an open Senate seat in the 26th District. Deb Krishnadasan was appointed to fill the vacancy, serving as the district's state senator during the 2025 legislative session. Rep. Michelle Caldier, the longstanding Republican representative in this district, is also running for the Senate seat. There are significant health policy implications in this race as Sen. Krishnadasan's spouse is a physician and Rep. Caldier is the assistant ranking minority member of the House Health Care Committee. The 26th District includes parts of Kitsap and Pierce counties and is one of the few remaining swing districts in the state, with voters sending Democrats and Republicans to Olympia every election.</p>
<ul>
<li>Sen. Deb Krishnadasan (D): 52.52% </li>
<li>Rep. Michelle Caldier (R): 47.39% </li>
</ul>
<h3>33rd Legislative District </h3>
<p>The most tenured member of the state Senate, Sen. Karen Keiser, announced her retirement last year after serving the 33rd Legislative District for 29 years. Her retirement came mid-term and Rep. Tina Orwall, a longtime member of the House representing the same district, was appointed to fill the Senate seat. Sen. Orwall is running to retain the Senate seat to finish out the legislative term and is unopposed.</p>
<p>This domino effect created an open House seat in the 33rd District and Rep. Edwin Obras, whose background is in human services, was appointed and is running to retain his seat. Fellow Democrat and Burien Mayor Kevin Schilling is also running for the House position, positioning himself as the more moderate of the two candidates. Both Sen. Orwall and Rep. Obras sit on their chamber's respective health care committees. The 33rdDistrict includes SeaTac, Normandy Park, and Des Moines and is overwhelmingly Democratic.</p>
<ul>
<li>Senate race
<ul>
<li>Sen. Tina Orwall (D): 96.62.96% </li>
</ul>
</li>
<li>House race
<ul>
<li>Rep. Edwin Obras (D): 48.45% </li>
<li>Kevin Schilling (D): 49.78% </li>
</ul>
</li>
</ul>
<h3>34th Legislative District </h3>
<p>Following Gov. Bob Ferguson's election, he selected then-state Sen. Joe Nguyen of the 34th Legislative District to serve as the director of the Washington State Department of Commerce. Then-Rep. Emily Alvarado was selected to the Senate seat and Brianna Thomas was appointed to the resulting vacated House seat. Both Sen. Alvarado and Rep. Thomas are running to retain their positions and are unopposed. The 34th District encompasses West Seattle, Vashon Island, and parts of Burien and White Center.</p>
<ul>
<li>Senate race
<ul>
<li>Sen. Emily Alvarado (D): 97.06% </li>
</ul>
</li>
<li>House race
<ul>
<li>Rep. Brianna Thomas (D): 97.14% </li>
</ul>
</li>
</ul>
<h3>41st Legislative District </h3>
<p>In another open seat created due to Gov. Ferguson's appointments, then-Rep. Tana Senn was selected to lead the Washington State Department of Children, Youth, and Families. The King County Council appointed Bellevue City Councilmember Janice Zahn, who is running to retain the seat. The 41st District includes Mercer Island and the surrounding cities and is reliably Democratic.</p>
<ul>
<li>Rep. Janice Zahn (D): 69.54% </li>
<li>John Whitney (R): 30.35% </li>
</ul>
<h3>48th Legislative District </h3>
<p>Patty Kuderer was elected to statewide office in 2024, becoming the state's insurance commissioner and leaving an open Senate seat. Then-Rep. Vandana Slatter was selected to fill the Senate position and Osman Salahuddin was appointed to the House seat. Sen. Slatter sits on the Senate Health and Long Term Care Committee and Rep. Salahuddin worked as a researcher at Fred Hutch Cancer Research Center and UW Medicine. Both legislators are running to retain their respective seats. Additionally, 48th District Rep. Amy Walen, who chairs the Consumer Protection &amp; Business Committee and is considered a moderate Democrat, is running for the Senate seat against her former seatmate.</p>
<ul>
<li>Senate race
<ul>
<li>Sen. Vandana Slatter (D): 56.34% </li>
<li>Rep. Amy Walen (D): 42.37% </li>
</ul>
</li>
<li>House race
<ul>
<li>Rep. Osman Salahuddin (D): 68.38% </li>
<li>Dennis Ellis (R): 31.5% </li>
</ul>
</li>
</ul>
<p>WAMPAC worked on multiple fronts to ensure we were well-positioned to be effective and influential in the 2025 campaign cycle. The relationships we build on the campaign trail help translate to the kind of policy victories that make a difference for physicians and patients. With the 2026 legislative session on the horizon, WSMA's budget and policy priorities will include addressing impacts from H.R. 1, increasing Medicaid reimbursement and access to care, seeking opportunities for business and occupation tax mitigation, defeating inappropriate scope of practice proposals, and reforming the prior authorization process.</p>
<p>If you have any questions about WAMPAC's engagement on campaigns, please reach out anytime.</p>
</div> | 11/7/2025 12:00:00 AM | 1/1/0001 12:00:00 AM |
| seeking-physicians-or-physician-assistants-to-speak-with-media-about-multiplan-lawsuit | Seeking Physicians or Physician Assistants to Speak with Media About MultiPlan Lawsuit | Latest_News | Shared_Content/News/advocacy-report/2025/november-7/seeking-physicians-or-physician-assistants-to-speak-with-media-about-multiplan-lawsuit | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/advocacy-report/2025/november/steth-gavel-istock-1021545242-645x425px.jpg" class="pull-right" alt="gavel and stethoscope" /></div>
<h5>Nov. 7, 2025 </h5>
<h2>Seeking Physicians or Physician Assistants to Speak with Media About MultiPlan Lawsuit </h2>
<p>As reported previously, the WSMA has joined an antitrust lawsuit against MultiPlan and major health insurers such as UnitedHealth, which seeks to end alleged coordinated price-fixing and recoup financial damages for physician practices and others harmed by this conduct. For background on the legal action, see our update in the <a href="[@]Shared_Content/News/Membership_Memo/2025/september-12/wsma-joins-multiplan-antitrust-litigation">Sept. 13 Membership Memo</a>. The WSMA and the communications strategists with the legal team are looking for physicians and physician assistants who may be interested in speaking with media about their experiences with MultiPlan, particularly those who suspect they've been impacted by the scheme.</p>
<p>As detailed in our <a href="[@]Shared_Content/News/Membership_Memo/2025/september-12/wsma-joins-multiplan-antitrust-litigation">Sept. 13 update</a>, your practice may be entitled to significant financial damages against MultiPlan and other insurance companies. Claims against MultiPlan over out-of-network reimbursements may go back as far as 10 years. Many practices that have been out-of-network with one major insurer during the relevant time period will have compensable claims and may join the lawsuit as an individual plaintiff. If you are interested in learning more, you can <a href="https://www.napolilaw.com/en/%20multiplan/">contact one of the lawyers</a> appointed by the court to lead non-class claims or access resources, including a <a href="https://www.napolilaw.com/en/%20multiplan/">free case evaluation</a>.</p>
<p>If you believe you've been impacted by the issues at the heart of this lawsuit and would be interested in speaking with the media about your experiences with MultiPlan, email WSMA Director of Communications <a href="mailto:gfs@wsma.org">Graham Short</a>.</p>
</div> | 11/7/2025 12:00:00 AM | 1/1/0001 12:00:00 AM |
| state-submits-rural-health-transformation-application-with-wsma-engagement-support | State Submits Rural Health Transformation Application with WSMA Engagement, Support | Latest_News | Shared_Content/News/advocacy-report/2025/november-7/state-submits-rural-health-transformation-application-with-wsma-engagement-support | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/advocacy-report/2025/november/female-doc-folded-arms-645x425px.jpg" class="pull-right" alt="female doctor with arms folded" /></div>
<h5>Nov. 7, 2025 </h5>
<h2>State Submits Rural Health Transformation Application with WSMA Engagement, Support </h2>
<p>H.R. 1 established a Rural Health Transformation Program intended to support patient access to care and rural health care systems across the country. Earlier this week, Washington state <a href="https://www.hca.wa.gov/assets/program/rhtp-project-narrative.pdf" target="_blank" rel="noreferrer">submitted its application for the fund</a>, requesting the maximum state allotment of $200 million per year to support investments across the rural health care continuum. The Rural Health Transformation Program is administered by the Centers for Medicare and Medicaid Services, which will review and take action on state applications by Dec. 31.</p>
<p>The WSMA engaged extensively in the development of the application, meeting with state policymakers, submitting feedback on where funding should be directed, and lending formal support to the state's application. We're grateful to see relevant investments proposed in the application and that the WSMA will have representation on the advisory committee that will help implement the program. Notable proposed programinvestments include: </p>
<ul>
<li>Workforce
<ul>
<li>Family medicine residencies </li>
<li>Apprenticeships and on-the-job training </li>
<li>Rural nurse education </li>
<li>Rural health worker recruitment and retention </li>
</ul>
</li>
<li>Technology
<ul>
<li>Telehealth technology </li>
<li>Project ECHO </li>
<li>Rural practice technology support </li>
</ul>
</li>
<li>System capacity
<ul>
<li>Maternity, emergency care access </li>
<li>Value-based purchasing </li>
<li>Interfacility EMS tracking and coordination </li>
</ul>
</li>
</ul>
<p>Full details about the state's application and the Rural Health Transformation Program process are available on the <a href="https://www.hca.wa.gov/about-hca/programs-and-initiatives/value-based-purchasing/rural-health-transformation-program?utm_medium=email&amp;utm_source=govdelivery#application">Health Care Authority's website</a>. The WSMA will continue to engage on this work in the coming months and will keep you apprised of any relevant developments.</p>
</div> | 11/7/2025 12:00:00 AM | 1/1/0001 12:00:00 AM |